Preparing for your appointmentBy Mayo Clinic staff
You're likely to start by seeing your family doctor. Depending on the likely cause of your dry orgasms and whether you need evaluation and treatment to help you get your partner pregnant, you may need to see a urinary and reproductive specialist (urologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.
What you can do
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, vitamins and supplements that you're taking.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions ahead of time will help you make the most of your time together. List your questions from most important to least important in case time runs out.
When seeing your doctor for dry ejaculation — the primary sign of retrograde ejaculation — some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- Are there other possible causes for my symptoms or condition?
- What kinds of tests do I need?
- Is my condition likely temporary or chronic?
- Am I at risk of complications from this condition?
- Does my condition need to be treated?
- Will I be able to conceive children?
- Should I see a specialist?
- Is there a generic alternative to the medicine you're prescribing me?
- Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?
If you are trying to get your partner pregnant, you may also want to ask:
- Will medications help me ejaculate normally?
- Can sperm be retrieved from my bladder and used for fertility treatment?
- Will my partner and I likely need to use assisted reproductive technology such as intrauterine insemination to achieve pregnancy?
- What's the best treatment to use to try and get my partner pregnant?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment.
What to expect from your doctor
Your doctor will ask you questions about your health and symptoms and may do a physical examination that includes examining your penis, testicles and rectum. Your doctor will want to determine whether your dry orgasms are retrograde ejaculation or linked to another problem that may need further evaluation.
Being ready to answer your doctor's questions may save time to go over any points you want to spend more time on. Your doctor may ask:
- Do you have cloudy urine after an orgasm?
- When did you first begin having dry orgasms?
- Do you ever ejaculate semen when you have an orgasm, or do you have a dry orgasm every time?
- What surgeries have you had?
- Have you had cancer?
- Do you have diabetes or any other chronic health problems?
- What medications or herbal remedies do you take?
- Do you and your partner want to have a baby? If so, how long have you been trying to conceive?
- Mehta A, et al. Ejaculation disorders. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/das/book/body/120705265-3/804926975/1701/189.html#4-u1.0-B978-0-323-04134-8..50008-2--subchapter5_3989. Accessed Nov. 13, 2010.
- Sigman M, et al. Male infertility. In: Wein AJ, et al. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: 2007; Saunders Elsevier. http://www.mdconsult.com/das/book/body/225940633-10/1080977255/1445/22.html#4-u1.0-B978-0-7216-0798-6..50021-2--cesec105_1623. Accessed Nov. 13, 2010.
- Ohl DA, et al. Anejaculation and retrograde ejaculation. Urologic Clinics of North America. 2008;35:211.
- Kaiser FE. Retrograde ejaculation. The Merck Manuals: Home Edition for Patients and Caregivers. http://www.merck.com/mmhe/sec21/ch240/ch240f.html. Accessed Nov. 13, 2010.
- Male infertility. American Urological Association. http://www.urologyhealth.org/adult/index.cfm?cat=11&topic=38. Accessed Nov. 13, 2010.
- Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 16, 2010.